| NPI | 1740604701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00594) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI CAPRN00594) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2015-03-10 |